Hendry Diagnostic Imaging Center

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

HENDRY DIAGNOSTIC IMAGING CENTER

Practice address

1008 W Sagamore Ave
Clewiston, FL 33440-3420

Phone

(863) 983-1103

Fax

(863) 983-0307

NPI assigned

Feb 27, 2007

Last updated

Feb 1, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Victor C Basile

Title

Director

Phone

(863) 983-1103

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1295862605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 151908",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339151908",
            "telephone_number": "239-242-5237",
            "fax_number": "239-242-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 W SAGAMORE AVE",
            "city": "CLEWISTON",
            "state": "FL",
            "postal_code": "334403420",
            "telephone_number": "863-983-1103",
            "fax_number": "863-983-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDRY DIAGNOSTIC IMAGING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "BASILE",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "863-983-1103"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS#  MEDICAL DIRECTOR",
            "identifier": "27010A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hendry County Hospital Authority (Hendry Regional Hand Surgery)
• Hendry County Hospital Authority (Hendry Regional Cardiology)
• Hendry County Hospital Authority (Hendry Regional Audiology)
• Hendry County Hospital Authority (Hendry Regional ENT)
• Hendry County Hospital Authority (Hendry Regional Interventional Pain Therapy)
• Hendry-Glades Mental Health Clinic, Inc. (Hendry-Glades Behavioral Health Center)
• Ana Ivis Hernandez
• Leidys Herrada
• Melissa Hevia
• Hope Community Wellness Center Corp

• Magnetic Resonance Imaging (MRI) Clinic/Center in Clewiston, FL
• Providers in Clewiston, FL by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.